NPI | 1750659595 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO DR.0067198) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT-200204) |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IL 036146762) | |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA 139087) | |
Enumeration Date | 2011-12-08 |
Last Update Date | 2021-12-15 |